HomeMy WebLinkAboutHomestead_Emge (3) STATE EOe\I!J!01R:f Yowl 1RFASIier2 WIN r}IA
APPROVED 111"',Pat IXNMOi MtTR,TS.yv PrLYA1Bm BY Air DEPAR14'Vr(FL(XAL GN2RNV.C.T r1AA\TE M(_I.1-_J.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS a
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction become,
more beneficial,there is more incentive than ner for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.'ntis information will he kepi confidential and can only he accessed by authorized county officials.The Depannmt of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
• Emge, Robert G
502 N West
Fort Branch IN 47648
6770
Robert G Emge
502 N West State Parcel Number Legal Description
FORT BRANCH IN 47648-1046
ltltt llIt titllrrtlt milt tltt ttllilt ttt'ntlt lltt ll !Lid 26-18-13-402-000.213-026 011-00213-00 CHRISTISON ADD 7
PART 2:TAXPAYER INFORMATION
Owner I First f_ Middle Last
Ilking Address(number and strut,city,state,and ZIP code) ame as property address — — — - -- -
5 2 4< Wear Sr i,cgKnA/C/'E lid 4764'8
Spouse First Middle Last
iloA/6
Mailing Address(Number and street,city,state.and'LIP code) ❑ Same as property address
Social sccurity Number(last 5 digits) _ Driver's License/Statc ID Number (last 5 digits) Other(please specify in Pan 4 below)
Sow
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury.that the above and foregoing information is true and correct and that he or she is eligible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature Date
•
POqM NC 10 1979 . � _� � � io & Filea in Duplicate
Preuri�eC By State BoarG of Ta. Cammissione¢ �
CLAIM.FOR. NOMESTEAD PROPERTY TAX CREOIT FOR YEAR 19 7°
SEE BACK FOR FILING INSTRUCTIONS
�
�(We) ���-� �'� certify that on tne' 1st day of
iarch, 19� I, e) occupied as our principal place of residence the following described real property for
which a Homestead .Property Tax Credit is hereby being claimed:
I, (We) ❑ owned �/! ��Ov'r ��D�
❑ are buying under contract
❑ have a beneficial inte�rjest i�n the �taxpayer
Property Description in �J County � Township
Taxing District �� Town, Texntship): _�.� . /��2�,.�-c-�
Parcel Number or legal description shown on tax statement:
� %
If buying Ofl contract: Owners name ��� smoie owneq
Contract recorded in Recorders Office - Record No. Page
If any portion of the residential structure or the land. not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property: County Township
I hereby certify the above statement is true, correct and complete.
� /� i ._�- � / _ . _ / /
$Ve¢t Aatlress
Gity.Sia:e antl Zio Goae
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land � � � � �
Total Land
Residential Improvements Dwelling
JUN 2 � ig79 Garage
Total
Oiher Improvements �� AU��
!/ ,
In+�l Improvements - Line (6) plus (7) equals (8)
l��by certify the above is true. correct. and complete.
Sigfuh__ _. """_"'_"
App
True Cash
Value
��) ��
(2) —
(3) 8.30
�
�.
�,
.
. � �
Assessed
Valuation
aso
�80
�
�
Homestead
Valuation
a �o
-i�.=�=-'- ■
�7Yt-a.�. % 9� / 9 7 9
Da:e • "�
Date: 9